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Organization

AMBULATORY ANESTHESIA CONSULTANTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGIL E BEALL MD (PRESIDENT)
(770) 578-1800
Entity
Organization

Contact information

Practice address
1077 S MAIN ST, MADISON, GA 30650-2073
(770) 578-1800
Mailing address
PO BOX 72483, MARIETTA, GA 30007-2483
(770) 578-1800

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CH5187
RAILROAD MEDICARE
GA
Enumeration date
12/14/2006
Last updated
01/28/2008
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